Application of Magnetoencephalography in Epilepsy Patients with Widespread Spike or Slow‐wave Activity
Open accessAbstract
Summary: Purpose: To examine whether magnetoencephalography (MEG) can be used to determine patterns of brain activity underlying widespread paroxysms of epilepsy patients, thereby extending the applicability of MEG to a larger population of epilepsy patients. Methods: We studied two children with symptomatic localization‐related epilepsy. Case 1 had widespread spikes in EEG with an operation scar from a resection of a brain tumor; Case 2 had hemispheric slow‐wave activity in EEG with sensory auras. MEG was collected with a 204‐channel helmet‐shaped sensor array. Dynamic statistical parametric maps (dSPMs) were constructed to estimate the cortical distribution of interictal discharges for these patients. Equivalent current dipoles (ECDs) also were calculated for comparison with the results of dSPM. Results: In case 1 with widespread spikes, dSPM presented the major activity at the vicinity of the operation scar in the left frontal lobe at the peak of the spikes, and some activities were detected in the left temporal lobe just before the peak in some spikes. In case 2 with hemispheric slow waves, the most active area was located in the left parietal lobe, and additional activity was seen at the ipsilateral temporal and frontal lobes in dSPM. The source estimates correlated well with the ictal manifestation and interictal single‐photon emission computed tomography (SPECT) findings for this patient. In comparison with the results of ECDs, ECDs could not express a prior activity at the left temporal lobe in case 1 and did not model well the MEG data in case 2. Conclusions: We suggest that by means of dSPM, MEG is useful for presurgical evaluation of patients, not only with localized epileptiform activity, but also with widespread spikes or slow waves, because it requires no selections of channels and no time‐point selection.
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Electrophysiological source imaging has been widely used in epilepsy source localization, including inter-ictal discharges.
“ESI has been widely used in epilepsy source localization, including inter-ictal discharges (76–81).”
From Electrophysiological source imaging: A noninvasive window to brain dynamics (2018) · cites this paper as [79]
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Electrophysiological source imaging: A noninvasive window to brain dynamics
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- Authors
- Shiraishi, H., Ahlfors, S. P., Stufflebeam, S. M., Takano, K., Okajima, M., Knake, S., Hatanaka, K., Kohsaka, S., Saitoh, S., Dale, A. M., & Halgren, E.
- Affiliations
- Harvard University (US)
- Hokkaido University (JP)
- Okayama University of Science (JP)
- ORCID
- Venue
- Epilepsia
- Publisher
- Wiley
- Published
- 2005-08
- Volume
- 46
- Issue
- 8
- Pages
- 1264-1272
- ISSN
- 0013-9580 (ISSN-L)
- 1528-1167
- OpenAlex
- W2079688682
- Cited by
- 72
- References
- 24
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 4 · 2021: 1 · 2020: 1 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 1 · 2015: 9 · 2014: 3 · 2013: 6 · 2012: 1
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epilepsia (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Energy (FG0399ER62764)
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke (NS 18741, R01NS018741)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › EEG and Brain-Computer Interfaces
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Keywords
- magnetoencephalography, epilepsy, slow-wave activity, interictal epileptiform discharges, equivalent current dipole, preoperative assessment, focal epilepsy, sensory aura, source localization
- MeSH terms
- Adolescent, Brain Mapping, Cerebral Cortex, Child, Preschool, Electroencephalography, Epilepsy, Female, Humans, Male, Preoperative Care, Magnetoencephalography, Tomography, Emission-Computed, Single-Photon
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